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Vascular Imaging · Arterial Duplex

Arterial Ultrasound

A 45-minute scan of the arteries in your legs, checking for the narrowing that causes peripheral artery disease.

Lower extremity arterial duplex ultrasound from a BlackPoint Diagnostics study, showing colour flow in the artery above and its Doppler waveform below
✓Registered cardiac & vascular sonographer
✓ASE Member — Echo Standards
✓Read in an IAC-accredited lab
✓Board-Certified Cardiologist Review
A sonographer scans a patient's legs with the images on the monitor

The Study

What Is an Arterial Ultrasound?

An arterial ultrasound is a painless scan of the arteries in your legs that checks for blockages reducing blood flow, a condition called peripheral artery disease (PAD). The scan uses sound waves with no radiation or needles, takes 45 minutes, and results are reviewed by a board-certified cardiologist and delivered within 24 to 48 hours.

Who Should Get an Arterial Ultrasound?

Poor circulation in the legs gets written off as aging or arthritis. These are the patterns that point at the arteries instead.

It is also worth doing with diabetes, a smoking history, or a wound on the foot or leg that is slow to heal. Reduced blood flow is usually the reason a wound stalls.

Not sure this is the right study for you? Compare all six side by side, or take the two-minute health score — it asks about your history and points you to the study that fits.

What to Expect

Simple, Painless, Step by Step

Many people have never had this scan before. Here is exactly what happens — no surprises, no anxiety.

No radiation. No needles. No discomfort. An ultrasound uses sound waves — the same technology used in obstetric imaging. It is entirely safe and non-invasive.

No preparation needed

Both legs are examined from the groin to the foot. Wear comfortable, loose-fitting pants.

Arteries are mapped with Doppler imaging

The sonographer traces each major artery in your leg, measuring blood flow velocity and identifying areas of narrowing.

Stenosis is identified and graded

Any narrowing or blockage is measured precisely, and its hemodynamic significance is assessed.

Plaque is characterized

The type and extent of arterial plaque is documented — hard calcified plaque behaves differently from soft plaque.

Cardiologist report delivered in 24—48 hours

A detailed report documents findings at each arterial segment, disease severity, and clinical recommendations.

What We're Looking For

Conditions This Scan Can Detect

These conditions often develop without symptoms for years. Early detection changes the outcome dramatically.

The Honest Part

If We Find Something

Most people are checked and get reassurance. Some do not — and that is the point of imaging. Here is exactly what happens in that case.

Why BlackPoint

The BlackPoint Difference

Quality cardiovascular imaging shouldn't require a hospital visit, a referral, or a weeks-long wait. Our sonographer performs cardiovascular imaging daily alongside physicians — clinical-grade diagnostics delivered with genuine convenience.

  • Registered cardiac & vascular sonographer — Not just a technician. A registered cardiovascular imaging specialist.
  • Board-Certified Cardiologist Review — Every scan reviewed by a physician who specializes in the heart and vascular system.
  • Results in 24—48 Hours — No waiting weeks. Clear answers delivered directly to you.
  • Our Falmouth Imaging Center — Concierge service at our Falmouth imaging center.
  • Transparent Pricing — $397 all-inclusive in Falmouth. No surprise bills, no insurance delays.
  • No Referral Needed — Book directly and take control of your own health.
  • Five-Star Google Reviews — Trusted by patients across Midcoast Maine.
★★★★★

“Emanuel was professional and informative. The appointment felt clean, quiet and calming. I was able to get scheduled quickly and received my results the very next day.”

Google review
★★★★★

“He was very professional, kind, and took the time to explain everything he was doing during the procedure, which really helped put me at ease. I received my results within 48 hours, which was impressive. Excellent experience overall.”

Google review
★★★★★

“Emanuel was respectful and knowledgeable. I was brought in on time and was kept informed of what he was doing along with detailed explanations. The room was clean, quiet, and private. I received my results within 48 hours with a follow up email from Emanuel. Highly recommend.”

Google review

Verified Google reviews from patients across Midcoast Maine. Read all reviews →

Common Questions

Frequently Asked Questions

Why do my legs hurt when I walk but feel fine at rest?

This specific pattern — pain or cramping that comes on with walking and disappears with rest — is called claudication, and it is the hallmark symptom of peripheral artery disease (PAD). It occurs when narrowed arteries cannot deliver enough blood to working muscles. A peripheral arterial ultrasound measures blood flow and pressure in the legs to determine whether PAD is the cause.

I have diabetes and my feet are numb — what test do I need?

Diabetes is one of the leading causes of peripheral artery disease.[3] Reduced circulation can cause numbness, tingling, or cold feet — and in more advanced cases, non-healing wounds. A peripheral arterial duplex ultrasound evaluates blood flow from the hip to the ankle and identifies areas of blockage before they progress to limb-threatening ischemia.

I have a wound on my leg that won't heal — could it be a circulation problem?

Yes. A non-healing wound on the foot or lower leg is a serious warning sign of critical limb ischemia — severely reduced blood flow. Adequate circulation is required for tissue repair. If a wound is not healing despite treatment, a peripheral arterial study should be performed urgently to assess blood supply.

Can I get a peripheral arterial scan without a doctor's referral in Maine?

Yes. BlackPoint Diagnostics does not require a physician referral. Book directly at our online booking page — evenings after 7pm and weekends. Results reviewed by a board-certified cardiologist and delivered within 24—48 hours.

How much does a peripheral arterial ultrasound cost without insurance?

$397 flat in Falmouth — no facility fees, no hidden costs. Book at our Falmouth imaging center in Southern Maine. See what a leg artery ultrasound costs in full.

Should I have a preventative study for peripheral artery disease?

It is worth considering if you get cramping or aching in the calves when you walk that eases when you stop, if your feet are persistently cold or discoloured, or if a wound on the foot or leg is slow to heal. Those are the signs of reduced arterial flow, and an arterial duplex measures it directly. The study is $397 at our Falmouth imaging center, or $597 on-site at your home or workplace anywhere in Southern Maine.

Book Your Scan

Your Lower Extremity Arterial Ultrasound
Starts Here

$397 all-inclusive in Falmouth. No referral, no insurance, no facility fees. Serving Southern Maine from our Falmouth imaging center.

Peripheral arterial ultrasound for patients across Southern Maine: Bath, Biddeford, Brunswick, Cape Elizabeth, Falmouth, Freeport, Gorham, Kennebunk, Lewiston, Portland, Saco, Scarborough, South Portland and Westbrook. Studies are performed at the Falmouth imaging center, or on-site at your home or workplace.

Further Reading & References

Leg Pain While Walking — Could It Be a Circulation Problem? · Claudication — When Leg Pain While Walking Is a Warning Sign · mobile — performed at our Falmouth imaging center, workplace, or care facility · Download our free heart health guide

  1. Fowkes FG, Rudan D, Rudan I, et al. "Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: a systematic review and analysis." Lancet, 2013;382(9901):1329-1340. PMID: 23915883
  2. Gerhard-Herman MD, Gornik HL, Barrett C, et al. "2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease." Circulation, 2017;135(12):e726-e779. PMID: 27840333
  3. Criqui MH, Aboyans V. "Epidemiology of peripheral artery disease." Circ Res, 2015;116(9):1509-1526. PMID: 25908725
  4. Conte MS, Bradbury AW, Kolh P, et al. "Global vascular guidelines on the management of chronic limb-threatening ischemia." J Vasc Surg, 2019;69(6S):3S-125S. PMID: 31159978
Book at Falmouth — $397